Individual provider Active NPI

Shannon Robert Rainey, M.D.

  • Anesthesiology Physician
  • Augusta, GA
National Provider Identifier
1265406904
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
058764 Issued in GA
Practice address
3651 Wheeler Rd
Augusta, GA 30909-6521
Phone
(210) 846-0726
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 058764 GA Primary

Addresses

Primary practice location

3651 Wheeler Rd
Augusta, GA 30909-6521

Mailing address

934 Napiers Post Dr
Evans, GA 30809
Phone (706) 860-7593

Other identifiers 1

IdentifierTypeStateIssuer
187826041AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070219000352 GA Practitioner - Anesthesiology 1456453661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Anesthesia Consultants of Augusta LLC 79 clinicians

Practice addresses (Care Compare)

351 S Liberty St
Waynesboro, GA 30830-9686
Phone (706) 554-4435

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 855-9860

Hospital & facility affiliations

  • Doctors Hospital Hospital, Augusta, GA, CCN 110177
  • Burke Medical Center Hospital, Waynesboro, GA, CCN 110113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Consultants of Augusta, LLC Anesthesiology CurrentSince Jul 1, 2009 Accepting new patients
Bcas, Inc. Anesthesiology Past Accepting new patients
BDT Anesthesia Associates PC Anesthesiology Past Accepting new patients

Locations

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

1290 Interstate Pkwy
Augusta, GA 30909
Phone (706) 860-5383

635 Ronald Reagan Dr
Evans, GA 30809
Phone (706) 868-3100

569 Furys Ferry Rd
Martinez, GA 30907
Phone (706) 466-4541

Interoperability endpoints

  • Direct secure messaging: shannon.rainey@hca5.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1265406904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 NAPIERS POST DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "30809",
            "telephone_number": "706-860-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096521",
            "telephone_number": "210-846-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINEY",
        "first_name": "SHANNON",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "058764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187826041A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.